Artisan Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ARTISAN PROSTHETICS LLC

Practice address

4501 N 32ND St
Phoenix, AZ 85018-3339

Phone

(602) 667-7827

Fax

(602) 667-7826

NPI assigned

Dec 20, 2007

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen Mitchell McNamee, CPNPI 1912092610

Title

Owner

Phone

(602) 667-7827

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• GBL Enterprises, LLC

  dba Barbara's Mastectomy Boutique

  • Prosthetic/Orthotic Supplier
  • Phoenix, AZ
  • NPI 1609054477

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Mitchell McNamee, CP BOCO

  • Prosthetist
  • Phoenix, AZ
  • NPI 1912092610
  NPD Authorized official
• Ray Dolberry, BOCPO

  • Orthotist
  • Gilbert, AZ
  • NPI 1164903894
  NPD
• Kaitlin Quan, CPO

  • Prosthetist
  • Phoenix, AZ
  • NPI 1063020972
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1265616643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143639",
            "telephone_number": "602-667-7827",
            "fax_number": "602-667-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183339",
            "telephone_number": "602-667-7827",
            "fax_number": "602-667-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MCNAMEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-667-7827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265616643",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Sitelman M.D., P.C.
• Jackie Arthur
• Mark Ashwin Arthur
• Arthurs Dental of Phoenix PLLC (Dental Depot Bell Station)
• Artificial Limb Specialists LLC
• Kyra Artise, RD
• Artistic Dental at the Biltmore
• Vazgen Roger Artounian, M.D
• Deborah Bernadine Cena Artus
• Leslie E Arundel

• Prosthetic/Orthotic Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.